品管圈活动在提高住院患者入院宣教知识知晓率中的应用效果要点

㊃调查研究㊃

品管圈活动在提高住院患者入院宣教知识知晓率中的应用效果

张爱清 夏端辉 陈志群 郑民菊

ʌ摘 要ɔ 目的 提高住院患者入院宣教知识知晓率㊂方法 开展以 提高住院患者入院宣教知识知晓率 为主题的品管圈活动,运用品管圈活动程序,针对住院患者入院宣教知识知晓率低进行根源分析,并采取相应的对策㊂结果 患者对病区环境㊁安全知识㊁规章制度㊁患者权利义务(含科室主要人员)和病房设施使用的知晓率显著提高,实施前后比较差异有统计学意义(均P <0.01),实施后知晓率提高幅度为51.76%(57.28%~

86.93%),目标达成率为100.00%,圈员的6项能力自我评价显著提高㊂结论 开展品管圈活动显著提高住院患者入院宣教知识知晓率,使患者尽快熟悉陌生环境,与护士建立良好的护患关系,提高护理服务质量和圈员能力㊂

ʌ关键词ɔ 品管圈; 入院患者; 宣教; 知晓率

DOI:10.3760/cma.j.issn.1673-4351.2016.05.007

作者单位:361004福建厦门,厦门大学附属第一医院思明分院

Awareness of hospitalization knowledge of inpatients improved by QCC activity

Zhang Aiqing ,Xia Duanhui ,Chen Zhiqun ,Zheng Minju .First Affiliated Hospital of Xiamen University Siming Branch ,Xiamen 361004,China

ʌAbstract ɔ Objective To improve the awareness of hospitalization knowledge of inpatients.Methods

A QCC (Quality

Control Circle)activity with the theme of "To Improve Awareness of Hospitalization Knowledge of Inpatients"was car-ried out.The activity adopted QCC procedure,conducted a root cause analysis regarding the awareness rate of hospitali-zation knowledge of inpatients,and adopted corresponding countermeasures.Results The inpatients'awareness of ward environment,safety knowledge,rules and regulations,patients'rights and obligations (including key personnel of de-partments)and ward facilities'usage were improved significantly.The comparison of the differences before and after the

implementation had statistical significance (average P <0.01).The range of improved awareness rate after implementa-tion was 51.76%(57.28%~86.93%),and the targeted rate was 100.00%,what's more,six self-evaluated capa-bilities of QCC members were enhanced remarkably.Conclusions The implementation of QCC activity,which signifi-cantly improved the awareness rate of hospitalization knowledge of inpatients,not only enables the patients to get famil-iar with the hospital environment as quickly as possible,but also build good nurse-patient relationships,and thus the

nursing service quality and competency of the members of QCC are enhanced.ʌKey words ɔ QCC (Quality Control Circle);Inpatients;Propaganda and education;Awareness rate

入院宣教,即患者住院后24h 内由护士向患者及家属讲解并示范病房环境㊁安全知识㊁医院规章制度等相关内容㊂入院宣教是整体护理的第一步,是健康教育的基础内容之一 1 ㊂有效的入院宣教,能使患者较快适应病室环境,进入患者角色,以积极的正性情绪全面接受治疗护理,对建立良好的护患关系,促进整体护理工作的开展具有极其重要的意义 2 ㊂入院宣教工作的有效开展有助于改善护患关系,减轻患者心理压力,使其能安心接受治疗 3 ㊂品管圈活

动对解决护理工作中的难题和患者需求的热点问题,

提高患者对护理服务的满意度以及改善护理服务质量具有重要的意义 4 ㊂我院于2014年5~11月开展 提高住院患者入院宣教知识知晓率 为主题的品管圈活动,取得了良好的效果,现报告如下㊂1 资料与方法1.1 一般资料

我院为某三甲医院的一家分院,设有妇产科㊁内科㊁骨伤科和综合外科4个病区,共180张床,护士

108名㊂文化程度:本科28名,大专67名,中专13名;职称:高级9名,中级55名,初级44名㊂1.2 品管圈实施方法

1.2.1 组圈 每个病区按护理部的分配人数,要求